Information Form

Customized Contract Agreement

If you are seeking Full Hearing Representation or wish to appeal to the Industrial Claims Appeals Panel through Greschler Unemployment Representation, Pllc and have not previously retained our firm for this matter, please complete the form below. This will enable us to review your case for any potential conflicts of interest before contacting you. If Greschler Unemployment Representation, Pllc has already represented you in this matter or you have had an intial consultation with us about this matter, there is no need to submit the form; please email us directly.

Some cases don’t fit neatly into a flat-fee consultation or standard representation package. For those situations, we provide a customized contract tailored to your specific needs.

Please complete the form below to confirm your agreement. Once your details are submitted, you will receive an invoice by email to finalize payment.

Fill The Information Form

How It Works

01 Complete the Form

Enter your information, case details, and provide your electronic signature.

02 Review and Contact

I will review your request and contact you to discuss legal representation. Once we agree on scope and terms, we will finalize the representation.

03 Finalize Representation

I will send a legal representation agreement covering all we discussed and agreed for your signature. The agreement will outline the services I will be providing, the associated costs, and payment. Upon submitting payment through the secure client portal, you will become a client of Greschler Unemployment Law Representation, pllc